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Registered Nurse Case Manager
2 months ago
POSITION SUMMARY
This role requires a Registered Nurse (RN) licensed in the state of Virginia, specifically targeting candidates residing in the Western region of the state.
KEY RESPONSIBILITIES
In this dynamic position, the RN will be expected to:
- Utilize excellent computer proficiency and meticulous attention to detail to manage multiple systems, engage with members via phone, and accurately document interactions.
- Travel up to 25% for member visits within a two-hour radius, with mileage reimbursement provided.
- Work Monday through Friday from 8 AM to 5 PM EST, with on-call responsibilities limited to one week per year and no weekend or holiday obligations.
JOB FUNCTIONS
Molina Healthcare Services (HCS) collaborates with members, healthcare providers, and multidisciplinary teams to assess, facilitate, plan, and coordinate comprehensive care across various settings, including behavioral health and long-term care for high-need members.
KNOWLEDGE, SKILLS, AND ABILITIES
The RN will:
- Conduct thorough assessments of members in accordance with regulatory timelines, determining eligibility for case management based on clinical evaluations and health changes.
- Develop and implement personalized case management plans in collaboration with members, caregivers, and healthcare professionals to meet individual needs and objectives.
- Perform regular monitoring of care plans to assess effectiveness, document interventions, and recommend adjustments as necessary.
- Maintain an active case load for ongoing outreach and management.
- Facilitate interdisciplinary care team meetings and foster collaboration among team members.
- Employ motivational interviewing techniques to educate and empower members during interactions.
- Identify barriers to care and provide coordination and support to address these challenges.
- Conduct medication reconciliation when necessary.
QUALIFICATIONS
Education: Graduate from an accredited nursing program; a Bachelor's Degree in Nursing is preferred.
Experience: 1-3 years in case management, disease management, or healthcare settings is required; 3-5 years is preferred.
Licensure: Must hold an active, unrestricted RN license in good standing in Virginia and possess a valid driver's license with a clean driving record.
COMPANY OVERVIEW
Molina Healthcare is committed to providing competitive compensation and benefits. We are an Equal Opportunity Employer (EOE) M/F/D/V.
PAY RANGE:
$51.49 / HOURLY
*Compensation may vary based on geographic location, work experience, education, and skill level.
